Individual provider Active NPI

Casey Rae Prester, DDS

  • General Practice Dentistry
  • Salina, KS
National Provider Identifier
1558979260
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61629 Issued in KS
Practice address
1829 S Ohio St
Salina, KS 67401-6601
Phone
(785) 823-2472
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61629 KS Primary

Addresses

Primary practice location

1829 S Ohio St
Salina, KS 67401-6601

Mailing address

1829 S Ohio St
Salina, KS 67401-6601
Phone (785) 823-2472

Other names 1

  • Ms. Casey Rae Leister Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61629KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Dental Arts LLC General Practice PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1558979260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016601",
            "telephone_number": "785-823-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016601",
            "telephone_number": "785-823-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTER",
        "first_name": "CASEY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "LEISTER",
            "middle_name": "RAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.